Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1417959065
Practice Locations (6)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY NE
ATLANTA, GA 303421606
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY RD NE
ATLANTA, GA 303421606
4048518000
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
3620 HOWELL FERRY RD
DULUTH, GA 300963178
6783126800
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
631 PROFESSIONAL DR, SUITE 470
LAWRENCEVILLE, GA 300463370
4042529063
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
2306 WISTERIA DR
SNELLVILLE, GA 300782658
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1120 PEACHTREE INDUSTRIAL BLVD, SUITE 208
SUWANEE, GA 300242013
7709780561
Source: CMS National Downloadable File, September 2026.